慢性肾脏疾病是当今医疗保健中最大的问题,和主要的替代疗法,血液透析,对自我管理和生活质量都有严重影响。本研究旨在评价教育护理指南对血液透析患者自我管理及健康相关生活质量的影响。
■使用了准实验设计。伊斯梅利亚总医院血液透析病房100名血液透析患者的便利样本,50名患者用于研究,50名患者用于对照组。使用患者人口统计信息问卷收集数据,血液透析自我管理量表,肾脏病生活质量调查仪36项(KDQOL-36)。在五个疗程中进行了为期12周的干预,从实施指南到测试后阶段。对照组接受常规护理。SPSS版本23,描述性统计,并使用独立t检验和Pearson卡方检验等推断统计量。
■关于自我管理维度,在解决问题和沟通方面,研究组和对照组之间存在统计学上的显着差异,流体控制,饮食,自我宣传,和情绪控制,p<0.001,效应大小分别为5.89、4.99、5.06和4.54。关于生活质量领域,在身体功能方面,研究组和对照组之间存在统计学上的显着差异,心理功能,肾脏疾病的负担,症状的管理,和肾脏疾病效应,p<0.001,效应大小分别为9.39、6.07、1.86、7.65和6.96。
■教育指南对于改善自我管理和生活质量是有效的。
UNASSIGNED: Chronic kidney disease is the biggest problem in health care today, and the primary replacement therapy, hemodialysis, has a severe impact on both self-management and quality of life. This study aimed to evaluate the effect of educational nursing
guidelines on self-management and health-related quality of life for hemodialysis patients.
UNASSIGNED: A quasi-experimental design was used. A convenience sample of 100 hemodialysis patients in the hemodialysis unit at Ismailia General Hospital, 50 patients for the study and 50 patients for the control groups. Data were collected using a patient demographic information questionnaire, hemodialysis self-management scale, and survey instrument on kidney disease quality of life 36-item (KDQOL-36). The intervention was conducted over 12 weeks in five sessions, from implementing the
guidelines to the post-test phase. The control group received the usual care. SPSS version 23, descriptive statistics, and inferential statistics like independent t-test and Pearson Chi-square test were used.
UNASSIGNED: Regarding self-management dimensions, a statistically significant difference was found between the study and control group regarding problem-solving and communications, fluid control, diet, self-advocacy, and emotional control with p < 0.001, and effect size 5.89,4.99, 5.06, and 4.54, respectively. Regarding the quality of life domains, a statistically significant difference was found between the study and control group regarding physical functioning, mental functioning, the burden of kidney disease, management of symptoms, and kidney disease effect with p < 0.001 and the effect size 9.39, 6.07, 1.86, 7.65, and 6.96, respectively.
UNASSIGNED: Educational
guidelines are effective for improving self-management and quality of life.